While evaluating the needs of a client during the second trimester, the nurse can anticipate which of the following
A. Feelings of disbelief and ambivalence.
B. Feelings of clumsiness and "ugliness".
C. Increasing introspection but a general sense of well-being.
D. Anxiety about the labor and delivery experienc
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A male client with a total hip replacement is progressing well and expects to be discharged tomorrow. On returning to bed after ambulating, he complains of severe pain in the surgical wound. Which action should the nurse take
Assume he’s anxious about discharge, and administer pain medication.
B. Assess the surgical site and affected extremity.
C. Reassure the client that pain is a direct result of increased activity.
D. Suspect a wound infection, and monitor the client’s temperature and vital signs.
Which nursing action takes priority when admitting a elient with right lower lobe pneumonia
A. Elevating the head of the bed 45 to 90 degrees.
B. Auscultating the chest for adventitious sounds.
C. Obtaining a sputum specimen for culture.
D. Notifying the physician of the client’s admission.
A client with hypotonic labor dysfunction is receiving oxytoein augmentation. Her contractions become more frequent and intense. Dilation progresses to 8 cm, but the fetal head remains at station +1. The nurse notes a soft bulge just above the symphysis. Which of the following actions is best
A. Re-evaluate the fetal presentation.
B. Change the client’s position.
C. Offer a narcotic analgesic.
D. Help the client urinat
When reporting to the surgeon that a chest tube is malfunctioning, the nurse is ordered to reposition the tube and obtain a chest radiograph. The nurse should
A. inform the surgeon this isn’t within her scope of practice.
B. report the surgeon to the Ethics Committee.
C. report the surgeon to the nursing supervisor.
D. follow the order as requested by the surgeon.
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